(1066) Traumatic Intracochlear Hemorrhage as a Cause for Sudden Sensorineural Hearing Loss in a Pediatric Patient
Monday, September 30, 2024
12:00 PM – 1:00 PM EDT
Disclosure(s):
Julian A. Martinez, MD: No relevant relationships to disclose.
Introduction: The purpose of this submission is to highlight intracochlear hemorrhage as a unique cause of sudden sensorineural hearing loss in the pediatric population. Consideration of intracochlear hemorrhage as the etiology for sudden sensorineural hearing loss may lead to prompt initiation of cochlear implant candidacy, which may lead to improved hearing outcomes.
Methods: The patient's clinical presentation and course of disease was thoroughly investigated. Clinical documentation, diagnostic imaging and audiometry results were considered. A literature review was conducted and revealed, to the best of our knowledge, that this was the first reported case of intracochlear hemorrhage treated with cochlear implantation.
Results: The outcome of the study is to comment on the ideal work up and treatment of pediatric patients presenting with sudden sensorineural hearing loss, particularly with a history of recent trauma and/or bleeding disorder.
Conclusions: Sudden sensorineural hearing loss is a rare, but morbid condition, especially in the pediatric population. Audiometry and diagnostic imaging (MRI) are crucial for determining the etiology of this condition. Prompt diagnosis of intracochlear hemorrhage may expedite the process of definitive treatment with cochlear implantation and may lead to better hearing outcomes.